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Quality Engineer
2 days ago
Securitas Electronic Security Inc Lincoln, United StatesSecuritas Healthcare, part of Securitas, empowers caregivers to deliver connected, productive and safe care. Its innovative portfolio of healthcare solutions helps over 15,000 hospitals, clinics and senior living organizations worldwide protect people, use assets efficiently and ...
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Parts Runner
1 day ago
Duncan Aviation Lincoln, United StatesThe Parts Runner distributes materials and correspondence throughout the entire campus and to off-site locations, by walking and/or driving company vehicles. This position is required to use our existing system to scan barcodes on all items they handle, pick up or deliver. In add ...
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Warehouse Specialist
6 days ago
Duncan Aviation Lincoln, United StatesDuncan Aviation is the largest, family-owned maintenance, repair and overhaul (MRO) facility in the world providing complete nose-to-tail services for business aircraft. We value the individual experiences and diversity of our workforce and are proud to be a Veteran-Friendly Empl ...
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Senior Auditor, Compliance
2 days ago
Allergan Lincoln, United StatesCompany Description · AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas ...
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Accounts Payable Specialist
8 hours ago
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Sr Accountant
3 days ago
Ameritas Lincoln, United StatesThis is a hybrid role working partially in-office and partially from home. · The Sr Accountant - Investments provides accounting professional or management support of the general financial accounting activities for the organization in compliance with regulatory policies. This pos ...
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Audit Intern
3 days ago
Ameritas Lincoln, United StatesAmeritas Life Insurance Corp is seeking an Audit Intern who is an eager, results-driven individual to perform audit work, with direct supervision, including evaluating controls and data analysis. Be part of a team of empowered leaders, creating positive relationships and providin ...
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Agreements Manager
4 days ago
State of Nebraska Lincoln, United StatesThe work we do matters · Hiring Agency: · Transportation - Agency 27 · Location: · Lincoln Job Posting · Hiring Rate: · $27.584 · Classification Salary Range: · $ $40.66 · Job Posting: · JR Agreements Manager - Hwy Programs Specialist (Open) · Applications No Longer Accepted On ( ...
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Accounting Manager/Internal Controller
4 days ago
Art F/X Screenprinting & Embroidery Lincoln, United StatesAs our company continues on its path of steady growth, we are seeking candidates for the position of · Accountant & Internal Controller , which reports directly to the COO . · Duties include overall responsibility for accuracy and timeliness of financial and operational managem ...
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Auditor
2 days ago
Ameritas Lincoln, United StatesThe audit team and this role receive diverse exposure throughout the organization. We are seeking an eager and results driven Auditor to be responsible for creating and executing comprehensive audit work programs in collaboration with internal team members. The incumbent will per ...
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Accounting Manager
2 days ago
Allergan Lincoln, United StatesCompany Description · AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas ...
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Director, Investment Accounting
1 day ago
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Director, Investment Accounting
1 week ago
Ameritas Lincoln, United StatesThis role could be hybrid (preferred) or remote based on proximity to an office location. · The Director of Investment Accounting will provide professional management direction and oversight for the investment accounting activities of the organization. Responsible for the evalua ...
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Financial Reporting Manager
1 week ago
Ameritas Lincoln, United StatesThis is a hybrid role working partially in-office and partially from home. · The Financial Reporting Manager manages and directs the accounting and reporting for the companys GAAP and statutory basis financial statement. This includes compliance reporting with external constitue ...
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Senior Sales Tax Accountant
1 week ago
Jobot Lincoln, NE, United StatesOutstanding Senior Tax Accountant Opportunity with an Amazing Organization in South Lincoln · This Jobot Job is hosted by: They are a family-owned company with years of specializing in developing assisted living communities. They are looking for a Senior Accountant with a special ...
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Vice President, Casino Finance
1 day ago
WarHorse Casino Lincoln, United StatesSummary: · Job Title: · Vice President, Casino Finance · Location: · Lincoln, NE or Omaha, NE · Reports to: · Chief Financial Officer (CFO)/Casino General Manager · SUMMARY · Reporting to the Chief Financial Officer, Ho-Chunk, Inc., with an additional reporting relationship t ...
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Quality Assurance Manager/Team Leader
2 days ago
Zoetis Lincoln, United StatesZoetis is the world's largest Manufacturer and Supplier of Animal Pharmaceuticals. · At Zoetis in Lincoln, NE, we manufacture high quality medicines for dogs, cats, and livestock. Our plant has been recognized as one of the Nebraska's Safest Companies, with a long-standing presen ...
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Vice President, Casino Finance
2 days ago
WarHorse Casino Lincoln, United StatesSummary: · Job Title: Vice President, Casino Finance · Location: Lincoln, NE or Omaha, NE · Reports to: Chief Financial Officer (CFO)/Casino General Manager · SUMMARY · Reporting to the Chief Financial Officer, Ho-Chunk, Inc., with an additional reporting relationship to the ...
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Quality Assurance Manager/Team Leader
5 days ago
Zoetis Lincoln, United StatesZoetis is the world's largest Manufacturer and Supplier of Animal Pharmaceuticals. · At Zoetis in Lincoln, NE, we manufacture high quality medicines for dogs, cats, and livestock. Our plant has been recognized as one of the Nebraska's Safest Companies, with a long-standing presen ...
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Manager, Quality
1 week ago
Agility Fuel System Lincoln, United StatesHexagon Agility is a leading global provider of clean fuel solutions for commercial vehicles and gas transportation solutions with more than $400 million of revenues. Our product offerings include (renewable) natural gas distribution systems, Type 4 composite natural gas cylinder ...
Sr Internal Auditor - Lincoln, United States - University of Nebraska
Description
The Physician Advisor (PA) conducts clinical review on all cases referred by the ICM, CDI staff and CSI staff (or other health care professionals) for the purpose of meeting regulatory requirements in accordance with the hospitals objectives for assuring high quality, safe patient care along the care continuum.
The PA meets with ICM and CSI staff on a regular basis to discuss select cases, review status determination and make recommendations for follow up.
The PA interacts regularly with medical staff and APPs for review of patient care, supporting documentation, discharge plans and appropriate levels of care.
The PA acts as a consultant and resource for medical staff, ICM, CSI, CDI and other care providers.The PA provides education to physicians and other clinicians related to regulatory requirements, appropriate utilization, alternative levels of care, community resources, and the overall continuum of care.
As needed the PA interacts with medical directors of third party payers to discuss the needs of patients and appropriate levels of care.
The PA supports medical staff and APPs through serving as a resource for clinical documentation.The PA attends daily huddles, participates on the utilization management team.
The PA collaborates with the hospitalist team on a regular basis for assuring safe, effective and efficient care
The PA maintains current knowledge of federal, state and payer regulatory requirements as well as utilization and quality management.
Education
Minimum Level of Education Required:
Medical Doctorate degree
Additional requirements:
Type of degree:
MD or DO
Area of study or major:
Medicine
Preferred educational qualifications:
N/A
Position specific testing requirement:
CHCQM Phy Adv certification
Licensure/Certification/Registration
Physician licensed to practice in the state of Ohio
CHCQM Physician Advisor certification
Board Certification in some specialty - current or expired
Experience
Minimum Level of Experience Required:
No prior job-related work experience
Prior job title or occupational experience: Minimum of 5 years of experience in clinical practice
Prior specific functional responsibilities:
Prior experience in Utilization Management
Preferred experience:
Prior experience in Utilization Management
Other experience requirements:
Leadership in practice, programs and projects
Knowledge/Skills
Utilization management
Payer practices
Clinical documentation
Patient levels of care
Continuum of Care management
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